| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $602.56 | $831.76 | |
Aetna
| Professional | $501.19 | $602.56 | $912.01 | |
BCBS
| Professional | $398.11 | $758.58 | $758.58 | |
Cigna
| Facility | $489.78 | $1,548.82 | $2,691.53 | |
Cigna
| Professional | $758.58 | $758.58 | $758.58 | |
Lucent Health
| Facility | $3,630.78 | $3,630.78 | $3,630.78 | |
Lucent Health
| Professional | $3,801.89 | $5,754.40 | $5,754.40 | |
United
| Facility | $275.42 | $758.58 | $758.58 | |
United
| Professional | $316.23 | $457.09 | $758.58 |